Department of Epidemiology, School of Global Public Health, New York University, New York, NY.
Ethn Dis. 2023 Mar 31;33(1):17-25. doi: 10.18865/1721. eCollection 2023 Jan.
High incidence and prevalence of HIV persist in Puerto Rico. To inform HIV prevention efforts, this study examines factors linked to HIV-associated behaviors in the territory.
Using data from the 2019 Behavioral Risk Factor Surveillance System, multivariable logistic regression models were constructed to explore factors related to HIV-associated behaviors.
Among Puerto Rican residents (n=4446), 5.6% reported engaging in ≥1 HIV-associated behavior (past 12 months), and 39.2% had never been tested for HIV. Reporting HIV-associated behaviors was associated with male sex (adjusted odds ratio [aOR], 1.74; 95% confidence interval [CI], 1.30-2.33), higher household income (aOR, 1.71; 95% CI, 1.14-2.58), heavy alcohol use (aOR, 2.67; 95% CI, 1.68-4.25), and ever receiving an HIV test (aOR, 2.00; 95% CI, 1.40-2.86) in a multivariable model. Conversely, being married (aOR, 0.51; 95% CI, 0.35-0.72), having a recent routine checkup (aOR, 0.48; 95% CI, 0.32-0.72), and reporting 0 days of poor mental health (aOR, 0.61; 95% CI, 0.45-0.81) were associated with decreased odds of engaging in HIV-associated behaviors.
Future surveys should incorporate measures of social and structural determinants that would provide greater context for understanding behavioral factors associated with HIV vulnerability as well as for developing appropriate HIV interventions in Puerto Rico.
波多黎各的 HIV 发病率和流行率居高不下。为了为 HIV 预防工作提供信息，本研究调查了与该领土内与 HIV 相关行为相关的因素。
使用 2019 年行为风险因素监测系统的数据，构建多变量逻辑回归模型，以探讨与 HIV 相关行为相关的因素。
在波多黎各居民（n=4446）中，5.6%报告在过去 12 个月内有过≥1 种与 HIV 相关的行为，39.2%从未接受过 HIV 检测。报告与 HIV 相关的行为与男性（调整后的优势比 [aOR]，1.74；95%置信区间 [CI]，1.30-2.33）、较高的家庭收入（aOR，1.71；95% CI，1.14-2.58）、大量饮酒（aOR，2.67；95% CI，1.68-4.25）和曾接受过 HIV 检测（aOR，2.00；95% CI，1.40-2.86）相关，这在多变量模型中。相反，已婚（aOR，0.51；95% CI，0.35-0.72）、最近进行常规体检（aOR，0.48；95% CI，0.32-0.72）和报告 0 天心理健康状况不佳（aOR，0.61；95% CI，0.45-0.81）与减少与 HIV 相关行为的可能性相关。
未来的调查应纳入社会和结构决定因素的衡量标准，为了解与 HIV 脆弱性相关的行为因素以及在波多黎各制定适当的 HIV 干预措施提供更广泛的背景。
